DIANE TAMAZYAN BA NPI 1114375524

NPI Information

NPI: 1114375524
Provider Name: DIANE TAMAZYAN, BA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3455 PERCY ST
LOS ANGELES, CA
ZIP 90023
Phone: (323) 268-2100
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Diane Tamazyan, BA is an addiction (substance use disorder) counselor in Los Angeles, CA. Diane Tamazyan, BA NPI is 1114375524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3455 PERCY ST
LOS ANGELES, CA
ZIP 90023-716
Phone: (323) 268-2100
Fax: (323) 268-2460

The enumeration date for this NPI number is 5/25/2016 and was last updated on 12/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	A015740315	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	114375524	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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